Speech Pathology and Audiology Commons^™

Differential Effects Of Speech And Language Therapy And Rtms In Chronic Versus Subacute Post-Stroke Aphasia: Results Of The Northstar-Ca Trial, Anna Zumbansen, Heike Kneifel, Latifa Lazzouni, Anja Ophey, Sandra E. Black, Joyce L. Chen, Dylan Edwards, Thomas Funck, Alexander Erich Hartmann, Wolf Dieter Heiss, Franziska Hildesheim, Sylvain Lanthier, Paul Lespérance, George Mochizuki, Caroline Paquette, Elizabet Rochon, Ilona Rubi-Fessen, Jennie Valles, Susan Wortman-Jutt, Alexander Thiel

Research outputs 2022 to 2026

Background & objective: Contralesional 1-Hz repetitive transcranial magnetic stimulation (rTMS) over the right pars triangularis combined with speech-language therapy (SLT) has shown positive results on the recovery of naming in subacute (5–45 days) post-stroke aphasia. NORTHSTAR-CA is an extension of the previously reported NORTHSTAR trial to chronic aphasia (>6 months post-stroke) designed to compare the effectiveness of the same rTMS protocol in both phases. Methods: Sixty-seven patients with left middle cerebral artery infarcts (28 chronic, 39 subacute) were recruited (01-2014 to 07-2019) and randomized to receive rTMS (N = 34) or sham stimulation (N = 33) with SLT for …

An Aphasia Research Agenda – A Consensus Statement From The Collaboration Of Aphasia Trialists, Myzoon Ali, Efstathia Soroli, Luis M. T. Jesus, Madeline Cruice, Jytte Isaksen, Evy Visch-Brink, Kleanthes K. Grohmann, C. Jagoe, Tarja Kukkonen, Spyridoula Varlokosta, Carlos Hernandez-Sacristan, Vicente Rosell-Clari, Rebecca Palmer, Silvia Martinez-Ferreiro, Erin Godecke, Sarah J. Wallace, Ruth Mcmenamin, David Copland, Caterina Breitenstein, Audrey Bowen, Ann-Charlotte Laska, Katerina Hilari, Marian C. Brady

Research outputs 2014 to 2021

Coordination of international aphasia research would minimise duplication of effort, support synergistic international activities across languages and multidisciplinary perspectives, and promote high-quality conduct and reporting of aphasia research, thereby increasing the relevance, transparency, and implementation of findings. The Collaboration of Aphasia Trialists (CATs) sought to develop an aphasia research agenda to direct future research activities, based on priorities shared by people with aphasia, family members, and healthcare professionals. Our established international research network spanning 33 countries contributed to this activity. Research literature reporting the priorities of stakeholders was reviewed and synthesized (phase 1). Representatives from Working Groups on Aphasia Assessment …

A Randomized Controlled Trial Of Very Early Rehabilitation In Speech After Stroke, Erin Godecke, Elizabeth Armstrong, Tapan Rai, Sandy Middleton, Natalie Ciccone, Anne Whitworth, Miranda Rose, Audrey Holland, Fiona Ellery, Graeme Hankey, Dominique Cadilhac, Julie Bernhardt

Research outputs 2014 to 2021

Rationale:

The efficacy of rehabilitation therapy for aphasia caused by stroke is uncertain.

Aims and hypothesis:

The Very Early Rehabilitation of Speech (VERSE) trial aims to determine if intensive prescribed aphasia therapy (VERSE) is more effective and cost saving than non-prescribed, intensive (usual care-plus) and non-intensive usual care (UC) therapy when started within 15 days of stroke onset and continued daily over four weeks. We hypothesize that aphasia therapy when started very early after stroke and delivered daily could enhance recovery of communication compared with UC.

Sample size estimates:

A total of 246 participants (82 per arm) will provide 80% …

Early Intervention Of Parent-Infant Interactions In Preterm Infants: A Systematic Review, Stacey Osborne

Theses : Honours

Every year approximately 15 million babies are born preterm. These infants are at an increased risk of language, and other developmental delays due to their immature brain development and higher incidence of brain abnormalities. They also have poorer health outcomes in the early stages of life which may go on to hinder successful parent-infant interactions. Successful parent-infant interactions are important for infant developmental outcomes such as language, cognition and behaviour. While interventions targeting the promotion of positive interactions have been found to have positive effects in a number of populations to date, interactions involving preterm infants have not been explored. …

Indirect Approaches: A Systematic Review Of Paediatric Dysphagia Interventions, Bianca Piano

Theses : Honours

Background and purpose: Dysphagia can be described as difficulty within the oral, pharyngeal and/or oesophageal phases of deglutition and occurs in approximately 80% of children with developmental disabilities, according to the American Speech and Hearing Association (2015). It occurs when there is impairment to the motor and/or sensory aspects of swallowing, due to a range of disorders affecting the voluntary and reflexive components of deglutition. The ability to swallow safely is essential in preventing medical complications, sustaining life and maintaining social participation. Paediatric interventions can be categorized into three broad approaches; direct, indirect and mixed. At present, two systematic reviews …

A Comparative Acoustic Examination Of Infant Cries: Children At High Risk Versus Low Risk For Autism Spectrum Disorder Development, Ildiko Eva Bruz

Theses : Honours

Background: Early interventions for individuals with Autism Spectrum Disorders (ASD) have shown positive gains in children who enter therapy at a young age. However, commencement of early intervention is often hindered by challenges with diagnosis. Due to the complex nature of ASD, the age of detection can range from 2 years old into adulthood. This highlights the need for methods of early detection. Previous research has found infants at risk for ASD to present atypical cry characteristics, possibly as a result from damage to the brainstem. In particular, measures of fundamental frequency appear to be the most sensitive to …

Interactions Between A Speech Pathologist And People With Aphasia In The First 6 Weeks Post Stroke: A Qualitative Study Of Assessment Experiences, Penelope Judith Wood

Theses : Honours

This study examines clinician and client interactions in the context of an acute care unit in a small urban Western Australian Hospital. The study involved audiovisual recordings and observations of assessment sessions, and in-depth interviews with the assessing Speech Pathologist and her clients. Analysis used Discourse Analysis of assessment sessions and Thematic Analysis of interviews. There is growing evidence as to how less formal non-traditional assessment might be more supportive of people with aphasia—for instance, by using concepts and techniques drawn from Dynamic Assessment and principles of Adult Learning. Surveys of Australian and New Zealand Speech Pathologists reflect a move …

Carer Experiences With Rehabilitation In The Home: Speech Pathology Services For Stroke Survivors, Katy Stewart, Natalie Ciccone, Elizabeth Armstrong

Research outputs 2014 to 2021

Caring for a stroke survivor can be a complex role with carers at an increased risk of mental health difficulties. Early supported discharge from hospital with rehabilitation in the home (RITH) allows stroke survivors to return home at an earlier stage in the recovery process, potentially placing an extra burden on carers. Being involved in intensive therapy,in the home, in the early days post-stroke may be difficult with the role and experiences of carers in RITH being underresearched. This paper identifies the roles, experiences and preferences of ten carers of stroke survivors with dysarthia and dysphagia. Many carers were involved …

Speech And Swallowing Rehabilitation In The Home: A Comparison Of Two Service Delivery Models For Stroke Survivors, Katy J. E. Stewart

Theses: Doctorates and Masters

Background and Aims

Speech and swallowing difficulties are common sequelae for people who have suffered a stroke. Recently, there has been an increase in early discharge, community rehabilitation and the use of therapy assistants to support health professionals in stroke rehabilitation. However, the impact of these factors on communication and swallowing outcomes remains under researched. This research explored Rehabilitation in the Home (RITH) Speech Pathology (SP) services for stroke survivors with dysarthria and dysphagia. More specifically, this research investigated whether traditional speech pathology interventions, supplemented with a home practice program are effective, as well as compare usual treatment to that …

Reflective Practice: What Is It And How Do I Do It?, Abigail V. Lewis

Research outputs 2013

Reflective practice holds importance for health and education practitioners in Australia, as demonstrated by increased prominence in the revised Competency based Occupational Standards for speech pathologists. This paper explores the topic of reflective practice, in the clinical context, by addressing the following questions: What is reflective practice? Why is it an important skill for speech pathologists? What is the evidence base for reflective practice? How do practitioners and students engage in the process of reflection? In addressing the final question, four methods of facilitating reflection are outlined: journal reflection, reflection on a critical incident, reflection following professional development, and reflection …

Women Who Stutter : Experiences Of Developing Self-Management And Quality Of Life, Katherine Milton

Theses : Honours

Background and Purpose: Research suggests that stuttering can impact an individual’s quality of life and how they perceive themselves in interactions with others. As a larger proportion of adults who stutter are men, limited research is available regarding the specific experiences of women who stutter (WWS). Existent literature regarding WWS was mainly published in the 1970s -1980s and may no longer represent current issues. This study aimed to explore the current influences on quality of life, perception of stuttering, self-management strategies, and gender issues experienced by WWS.

Methods and Procedures: This grounded theory study used a convenience sample of eight …

Analysing A New Mobile Bilateral Audiology Test For Children, Luke J. Brook

Theses : Honours

Hearing loss in Australian children, primarily Aboriginal and Torres Strait Islanders, is a growing concern for the Australian public health sector. In certain rural communities up to 90 per cent of children have been found to experience some form of hearing loss. Although hearing loss can be the result of a number of different causes, including congenital influences, the most common cause of hearing loss in Australian children is attributed to a common middle ear infection, otitis media.

To address the issue, numerous solutions have been proposed, tested and implemented, although the problem persists due to geographic, environmental and cultural …

The Use Of The Communication Checklist - Adult (Cc-A) For Assessing The Communication Abilities Of Individuals Post Traumatic Brain Injury, David B. Fitzgerald

Theses : Honours

Background and aims: Standardised and non-standardised assessments are used in speech pathology to evaluate an individual’s communication abilities post traumatic brain injury (TBI; e.g. Turkstra et al., 2005b). However, valid, reliable and norm-referenced standardised assessments that examine functional communication abilities of individuals post TBI outside of the clinical environment are limited. This study sought to investigate the validity of the Communication Checklist - Adults (CC-A; Whitehouse & Bishop, 2009), a caregiver questionnaire that assesses the communication abilities of individuals post TBI.

Method: The project recruited 14 participants post TBI with varying communicative impairment severities. Each participant completed a routine communication …

Newborns With Feeding Issues: Parental Perceptions Of The Hospital Discharge, Transition Home And The Role Of Speech Pathology, Katie Louise Ilich

Theses : Honours

This study explored the perceptions of discharge from hospital and the transition home for mothers of newborns with feeding issues. To gain an understanding of their experiences, mothers were interviewed twice, once at discharge and once up to a month later. Participants had a strong desire for their babies to be discharged from hospital, but felt anxious and underprepared. Once home, more questions typically arose. Mothers found this a highly stressful and emotional experience, especially for those without consistent speech pathology involvement. Mothers valued being involved in the decision-making process, and found this an effective coping mechanism. The value of …

Language, Meaning, Context, And Functional Communication, Elizabeth Armstrong, Alison Ferguson

Research outputs pre 2011

No abstract provided.

Phonological Profile For The Hearing Impaired : Manual, Iris Vardi

Research outputs pre 2011

Anyone who deals with the speech of the hearing impaired is only too well aware of the wide range of speech problems that can present. Many of these problems have been thoroughly researched and documented. Toni Gold (1980), detailed the following characteristics of hearing impaired speech as revealed by the literature to that date:

(l) intelligibility problems;

(2) consonant errors relating to voicing, consonant omissions, position of consonant error in word, difficulties with consonant blends, effects of place of articulation;

(3) vowel and diphthong errors;

(4) suprasegmental errors including problems with rate, increased duration of phonemes, timing, pausing; and

(5) …